Active NPI
Kimberly Elise Hamilton, LSW
- Social Worker
- Rochelle Park, NJ
National Provider Identifier
1104144575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05561600
- Practice address
- 336 W Passaic St
2ND FL
Rochelle Park, NJ 07662-3027 - Phone
- (201) 845-7030
- Fax
- (201) 845-0899
- NPI assigned
- May 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05561600 | NJ | Primary |
Addresses
Primary practice location
336 W Passaic St
2ND FL
Rochelle Park, NJ 07662-3027
Mailing address
336 W Passaic St
2ND FL
Rochelle Park, NJ 07662-3027
Phone (201) 845-7030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44SL05561600 | Other | NJ | STATE OF NJ DIVISION OF CONSUMER AFFAIRS/BOARD OF SOCIAL WORK EXAMINERS |
Other names 1
- Kimberly Elise Burgess
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman Counseling and Consulting, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Rochelle Park, NJ
- NPI 1306167457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273536000000",
"number": "1104144575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 W PASSAIC ST",
"address_2": "2ND FL",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076623027",
"telephone_number": "201-845-7030",
"fax_number": "201-845-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 W PASSAIC ST",
"address_2": "2ND FL",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076623027",
"telephone_number": "201-845-7030",
"fax_number": "201-845-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "KIMBERLY",
"middle_name": "ELISE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-11",
"last_updated": "2010-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05561600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NJ DIVISION OF CONSUMER AFFAIRS/BOARD OF SOCIAL WORK EXAMINERS",
"identifier": "44SL05561600",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "BURGESS",
"middle_name": "ELISE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Rochelle Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.